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首页> 外文期刊>The Journal of dermatology >Long-term combination therapy of ustekinumab and clapsone in a patient with psoriasis and dermatitis herpetiformisDuhring
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Long-term combination therapy of ustekinumab and clapsone in a patient with psoriasis and dermatitis herpetiformisDuhring

机译:牛皮癣和疱疹样皮炎患者的长期联合应用ustekinumab和clapsone治疗

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摘要

Psoriasis vulgaris is recently associated with other comorbidi-ties like metabolic syndrome and cardiovascular disease. Some studies have also shown connection to celiac disease, a multisystemic disorder associated with skin manifestations like dermatitis herpetiformis Duhring as well as the systemic symptoms, A 48-year-old man with a history of psoriasis vulgaris had been followed at our department since 2006 when he was referred to us for initiation of a biologic therapy. He suffered from arterial hypertension, hyperlipidemia, hyperuricemia andnon-alcoholic fatty liver disease (NAFLD). He used to smoke 10 cigarettes daily. Before biologic therapy, he was treated with methotrexate and with ultraviolet B (311 nm). Five years prior, therapy with efalizumab was initiated for 12 months but was then switched to etanercept for 2.5 years the therapy and finally to adalimumab for 1.5 years due to loss of response. After relapsing on adalimumab, we decided to change from anti-tumor necrosis factor-alpha treatment to monoclonal antibody against interleukin-12/-23. Therapy with ustekinumab was initiated at a dose of 90 mg, because of his weight (108 kg), with excellent results.
机译:寻常型牛皮癣最近与其他并发症如代谢综合征和心血管疾病有关。一些研究还显示与乳糜泻有关联,乳糜泻是一种多系统性疾病,与皮肤症状如疱疹样皮炎,杜林症和全身症状有关。自2006年以来,我科一直追踪一名48岁寻常牛皮癣病史的人。他因进行生物治疗而被转介给我们。他患有动脉高血压,高脂血症,高尿酸血症和非酒精性脂肪肝病(NAFLD)。他曾经每天抽十支烟。在进行生物治疗之前,他曾接受甲氨蝶呤和紫外线B(311 nm)治疗。五年前,开始使用efalizumab治疗12个月,但由于反应减弱,转用依那西普治疗2.5年,最后转用阿达木单抗治疗1.5年。重新使用阿达木单抗后,我们决定从抗肿瘤坏死因子-α治疗改为抗白介素-12 / -23的单克隆抗体。由于他的体重(108千克),开始以90 mg的剂量使用ustekinumab进行治疗,效果极佳。

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